Organization
CAREMORE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN A HATAM (MD)
(818) 844-2778
Entity
Organization
Contact information
Practice address
406 E. COLORADO STREET, GLENDALE, CA 91205
(818) 844-2778
Mailing address
406 E. COLORADO STREET, GLENDALE, CA 91205
(818) 844-2778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20A11018
CA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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